Active NPI
Jennifer Jean Payne, LPC, CCMC
- Counselor
- Roanoke Rapids, NC
National Provider Identifier
1952704926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 8616
- Practice address
- 544 J R Allsbrook Hwy
Roanoke Rapids, NC 27870-4611 - Phone
- (252) 537-7458
- Fax
- (252) 537-7458
- NPI assigned
- Oct 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A8616 | NC | |
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 8616 | NC | |
| Counselor | 101Y00000X | 8616 | NC | Primary |
Addresses
Primary practice location
544 J R Allsbrook Hwy
Roanoke Rapids, NC 27870-4611
Mailing address
544 Julian R Allsbrook Hwy
Roanoke Rapids, NC 27870-4611
Phone (252) 537-7458
Other names 1
- Jennifer Jean Rhodes-Weimer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A8616 | NC | MD | Counselor |
| 8616 | NC | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1952704926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 JULIAN R ALLSBROOK HWY",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704611",
"telephone_number": "252-537-7458",
"fax_number": "252-541-2039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 J R ALLSBROOK HWY",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704611",
"telephone_number": "252-537-7458",
"fax_number": "252-537-7458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "JENNIFER",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LPC, CCMC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-03",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A8616",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8616",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "8616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "RHODES-WEIMER",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Roanoke Rapids, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.